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Total Results: 7,834 records

Showing results for "failures".

7521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33675/psn-pdf
      October 01, 2008 - Identifying Adverse Events Not Present on Admission: Can We Do It? October 1, 2008 Naessens JM. Identifying Adverse Events Not Present on Admission: Can We Do It? PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it Perspective Interest is growi…

7522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49665/psn-pdf
      September 01, 2012 - Undetected Foreign Object September 1, 2012 Cima RR. Undetected Foreign Object. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/undetected-foreign-object The Case A 75-year-old man with a past medical history of end-stage renal disease (on hemodialysis), hypertension, and diabetes was found to have obstruct…

7523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49778/psn-pdf
      December 01, 2016 - One Dose, Two Errors December 1, 2016 Filice GA. One Dose, Two Errors. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/one-dose-two-errors The Case A 65-year-old woman was admitted to the intensive care unit (ICU) with severe sepsis and respiratory failure secondary to community-acquired pneumonia. The pati…

7524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49462/psn-pdf
      October 01, 2004 - Thin Air October 1, 2004 Gaba DM. Thin Air. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/thin-air Case Objectives Identify the gas-specific non-interchangeable connectors used for bulk gas supply outlets in hospitals. Define forcing function, both in engineered safety devices and in human procedures. R…

7525. 40 of K | PSNet
      psnet.ahrq.gov/web-mm/40-k
      January 12, 2011 - 40 of K Citation Text: Lesar TS. 40 of K. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

7526. Walking Out of a Hospital After Attempted Suicide | PSNet
      psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
      March 29, 2023 - Walking Out of a Hospital After Attempted Suicide Citation Text: Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Googl…

7527. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet
      psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
      April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps Citation Text: Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy …

7528. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - Electronic Err Citation Text: Tang PC. Electronic Err. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7529. Wrong-Time Error With High-Alert Medication | PSNet
      psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
      February 01, 2014 - Wrong-Time Error With High-Alert Medication Citation Text: Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX…

7530. Reconciling Records | PSNet
      psnet.ahrq.gov/web-mm/reconciling-records
      September 01, 2017 - Reconciling Records Citation Text: Singh H, Sittig DF, Layden M. Reconciling Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

7531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850678/psn-pdf
      June 14, 2023 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration June 14, 2023 https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults- risk-hospital Summary To address a well-documented hospital adverse outco…

7532. Baffled by Botulinum Toxin | PSNet
      psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
      July 17, 2024 - Baffled by Botulinum Toxin Citation Text: Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

7533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840175/psn-pdf
      November 16, 2022 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. November 16, 2022 Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism The Case A 61-year-old woman presented to …

7534. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia | PSNet
      psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
      February 23, 2022 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia Citation Text: Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation …

7535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60242/psn-pdf
      March 01, 2021 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovatio…

7536. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
      October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD October 6, 2021  Also Read the Essay Citation Text: In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…

7537. In Conversation With… Richard Hoppmann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
      June 01, 2018 - In Conversation With… Richard Hoppmann, MD June 1, 2018  Also Read an Essay Citation Text: In Conversation With… Richard Hoppmann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

7538. Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations | PSNet
      psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
      July 23, 2024 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations Save Save to your library Print Download PDF Share Facebook …

7539. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
      psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
      June 14, 2023 - SPOTLIGHT CASE A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion Citation Text: Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality…

7540. Health Equity and Maternal Health | PSNet
      psnet.ahrq.gov/perspective/health-equity-and-maternal-health
      October 06, 2021 - Health Equity and Maternal Health October 6, 2021  Also Read the Conversation View more articles from the same authors. Citation Text: Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. Rockville (MD): Agency for Healthcare…